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So...what the hell's wrong with you, Shooter?

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Re: So...what the hell's wrong with you, Shooter?

#91
Shooter, I wish you the best of luck for your continual recovery.

I've been ill (dizzyness, almost passing out, weak left arm, chest pains, burning throat, swollen glands, twitching muscles, burning/pinching at joints) since June and I just fell out with my NHS (UK) doctor this week and went private.

The NHS doctor has been telling me its a virus and it'll go away on its own, and the muscle twitching was normal for a few days. I finally went back last week (have been back 3-4 times before that) when he was promising me a blood test to check for an infection and he is refusing me, he says we only have 10 minutes and I have too many symptoms, and even that he never said it was a virus infection.

So the few symptoms that he will look at are sending us down completely the wrong path, I don't want to keep chasing symptoms when we should be going after the cause.

I called the NHS directly and they told me to demand a blood test, but the doctor still declines. He even went as far as to tell me I don't have the symptoms I was telling him I had.

So on Wednesday this week I called a private doctor, got an appointment two hours later, she looked at my entire list of symptoms (15~) and checked me over, confirmed I have an extremely high temperature, inflamed throat and swollen glands. Had my blood tests today and I'm going in for the results tomorrow. That's more action in 3 days than my NHS doctor managed in over 3 months. I just hope it'll all be over now, as I've been trying to launch a business throughout this.

Before contacting the private doctor I felt like id slipped through the net and it was useless. I've not even been checking HN much lately so it was pure randomness that I stumbled upon this thread.

I still have a referral for neurological tests and a brain scan with the NHS if required. But I have been adamant that its not a family running disease because both my Mother and Sister have the same symptoms, all occurring since roughly the same date. If it wasn't for that id possibly still be following a (hopefully) less likely route.

A drop in the water compared to what you've been through, but I think I can relate at least a little to some of the initial frustrations that you've had to deal with. Thanks for sharing your story and I'm glad that you eventually pulled through all the confusion and are getting the treatment you need.

Re: So...what the hell's wrong with you, Shooter?

#92
post #21
post #19

This is terrible. Is there any question left as to whether private healthcare is a disaster? I have known a few people who have been denied healthcare coverage when it is quite clear that it is due. Either there needs to be a regulatory board that can overrule insurance companies or we need to implement public healthcare.

Public healthcare is not inherently better than private, it has its own problems. I think it is easier and cheaper (both technically and politically) to fix private healthcare incentives than to go the public way.

How might you resolve the conflict of interest that private insurance companies are better off if they refuse your treatment and you die than if they pay for it?

Re: So...what the hell's wrong with you, Shooter?

#93
post #75
post #49

Earlier quoted context omitted.

I think the insurance companies considered Shooter's treatment experimental, which is why they gave him trouble. But apparently did pay at the end.

You missed the part where he has to keep on fighting to keep the coverage and says that he expects to lose his coverage eventually. And it sounds like you don't have enough experience of being on the wrong end of an insurance companies attempts to kill you to be less credulous about their nature. The problem is that in the US at this time, health insurance companies are structurally evil. Evil in that they are the so…

Insurance companies are neither Good nor Evil. That's absurd. They're simply in the unenviable position of having to be the decision makers in the distribution of a scarce resource (health care).

Saying the insurance companies are evil is no more informed than the people who railed at the Obama administration for suggesting that end of life care should be rationed.

The most fundamental issue is that health-care is so damned expensive in the US. That's why we get in the degenerate situation we're in now where it seems like insurance companies are the arbiters of who shall live and who shall die.

Re: So...what the hell's wrong with you, Shooter?

#94

I am assuming you are an American citizen. If you haven't already, you need to: 1) call your Congressperson's local office (not DC) and ask for someone in constituent services who works with health care issues. Do this tomorrow. If your insurance company is denying you any care, and you have a paper trail, they should help. If your Rep can't help, then contact your two Senators' offices. Generally, Reps are much bett…

I don't know if you're familiar with Fox, but they're not running any story that suggests healthcare needs government intervention.

I think he was suggesting that they could do a human-interest story about a real-life Dr. House (to take advantage of sweeps), with Shooter as an example of someone whom no one else could diagnose properly. They could completely leave out the bit about the insurance companies if they were so inclined.

Re: So...what the hell's wrong with you, Shooter?

#95
post #88

Earlier quoted context omitted.

Uhhhh, we don't have insurance in the UK. Basically the NHS is your fallback, it will (more or less) treat anything that: "negatively impacts your quality of life". However it may not be the very best care and you may have to wait for it (depending on the contention for services in your area and the treatment you need). If you want quicker service then you can go private and pay for it. In terms of experimental treat…

Uhhhh, we don't have insurance in the UK. We do have this thing called NICE tho'. http://news.bbc.co.uk/1/hi/health/1923989.stm

NICE doesn't face the same choices as insurance companies.

NICE picks treatments based on trying to get the best results for the whole population whilst only spending a finite amount of money.

Insurance companies pick treatments based on trying to get the largest amount of profit compatible with people being willing to carry on paying for insurance.

Re: So...what the hell's wrong with you, Shooter?

#96
post #73

Earlier quoted context omitted.

Speaking from personal experience, it is the norm. In the US you are completely on your own, and your insurance company is not your friend; no matter how dutiful you were in paying your premiums. If you have a chronic, treatable condition, expect to fight it out with your insurance company 2 to 3 times a year over whether or not they will live up to their contractual obligations. It is my considered opinion that if O…

Perhaps a solution to the problem of chronic, treatable conditions is to make health insurance not pay for them. In short, turn insurance back into insurance (protection against low probability, high cost events).

Wait, WTF? Isn't getting bitten by SuperTick exactly the sort of low probability, high cost event insurance is for? Just because something is chronic doesn't make it low cost.

Re: So...what the hell's wrong with you, Shooter?

#97
post #21

Earlier quoted context omitted.

Public healthcare is not inherently better than private, it has its own problems. I think it is easier and cheaper (both technically and politically) to fix private healthcare incentives than to go the public way.

How might you resolve the conflict of interest that private insurance companies are better off if they refuse your treatment and you die than if they pay for it?

The problem is not in the conflict of interest - other types of insurance work mostly OK. The problem is that the health insurance companies can somehow get away from their obligations without being sued to death. Maybe that's because of vague contracts, or maybe something else. I don't know the exact reason.

Re: So...what the hell's wrong with you, Shooter?

#98
post #88

Earlier quoted context omitted.

Uhhhh, we don't have insurance in the UK. We do have this thing called NICE tho'. http://news.bbc.co.uk/1/hi/health/1923989.stm

NICE doesn't face the same choices as insurance companies. NICE picks treatments based on trying to get the best results for the whole population whilst only spending a finite amount of money. Insurance companies pick treatments based on trying to get the largest amount of profit compatible with people being willing to carry on paying for insurance.

It's much the same from the perspective of the person being denied treatment, having paid NI their whole life.

Re: So...what the hell's wrong with you, Shooter?

#99
post #60

I am assuming you are an American citizen. If you haven't already, you need to: 1) call your Congressperson's local office (not DC) and ask for someone in constituent services who works with health care issues. Do this tomorrow. If your insurance company is denying you any care, and you have a paper trail, they should help. If your Rep can't help, then contact your two Senators' offices. Generally, Reps are much bett…

There are literally thousands of people with similar stories that are more articulate - and less bitter and angry - than I am. And the media is slowly picking up on these issues. http://underourskin.com/blog/ recently mentioned, for example, the change in stance of Good Morning America's medical correspondent over the course of a year. Enough people are getting sick and raising a ruckus that there are finally some ch…

Maybe the bitterness and anger is a good thing. You should be angry, I sure as hell would be. We all should be, your story is horrifying. But I think you're in an amazing position, and may not realize it. Your wife is a director at a research hospital, and, while I don't know who you are personally, I'll assume you're well connected in the tech world (otherwise why would you post this here). You obviously know very intimately what is wrong with the healthcare system.

That's a very unique position of power, whether you think so or not. You have the ability to affect great change, especially with what's happening with health care in the U.S. right now. You -apparently- have some money (at least more than I do), connections, an amazing story and anger, a great motivator.

I think everyone can understand if you can't, or you won't, but if it's in you, step up, pull strings, work behind the scenes, work in the spotlight, tell your story, influence who you can and get this fixed. This is still the greatest country in the world, and the ability for citizens to step up and fix what's broken is what makes it great.

That's just my two cents, for what it's worth. And my apologies for the semi-patriotic rant at the end there. ;) I wish you the best as you continue this battle.

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